01-101828 City of Federal Way
Community Development Services Electrical Permit #:01 - 101828 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: FEDERAL WAY AUTO CENTER
Project Address: 35610 ENCHANTED I P K w y S Parcel Number: 282104 9172
Project Description: ELE-Alteration of(10)circuits for existing retail building.
Owner Applicant Contractor
Russel R Lloyd J M CORP&SON J M CORP&SON
31820 148TH WAY SE 12301 76TH AVE E 12301 76TH AVE E
AUBURN WA PUYALLUP WA 98373 PUYALLUP WA 98373
98092-9278 (253)845-6745
Eleccal Fixtures
Description tl,y escription (Quantityl 0, Description 'Quantity]
Circuits- Commercial 1Q
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PERMIT EXPIRES November 5,2001,IF NO WORK IS STARTED.
Permit issued on May 9,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use 1 be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Wa
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Owner or agent: Date: dold
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�Y� cAN CONSTRUCTION PERMIT APPLICATION
F� APPLICATION NUMBER: -lb/_.Ze-D0
® APPLICATION NUMBER: -
*kr. fii.1ve° APPLICATION NUMBER: - -
**Tf� i" required information-Please print(in ink)or type**
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Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION -
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SITE ADDRESS: �/� /� - -
'j� tU -<c._""""'" � �fr``�A ASSESSOR'S TAX/PARCEL '
LEGAL DESCRIPTION OF SUBJECT PROPE• Y(ATTAC SEPARATE DESCRIPTION IF LENGTHY):
•r• ■ PRO]ECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBIN [ CHANICAL 1 DEMOLITION
I ELECTRICAL ❑ ENGINEERI ❑ PREVENTI'. SYSTEM
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PROJECT DESCRIPTION(Provide detailed description): - '
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PROJECT NAME: 4
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PROPERTY O R' NAME: / 6A E PHONE.,:"
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• MAILIN DRESS(STREET ADDR".
' •CITY, ZIP): 'F•
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CONTRACTOR: ^ (t )04/6-
• UNG ADDRESS
S((STRE AD ESS;C ,ST• •- - ✓f EVENING PHONE: ��/y
C, `::1,E1LWAY1�N CE MBER: �� '/•a //Y (1//) L['ei -, z-
FAX NUMBER: �/
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CONTRA REGI ••TION NUMBER: am
r� /� ,J' EXPIRATION DATE:
(copy of card required) --J m I /5 41(/,API r�e / Z7 / az
APPLICANT' NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - ,
E-MAIL ADDRESS: -
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT 8t-ONTRACTOR
■ DETAILED BUILDING INFORMATION
i EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: �/ PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES LJ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
,
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO]ECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
• • DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and
further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such clai- ), -ich may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only where ch cla arise out of the reliance of the city,including its officers and employees,upon the accuracy
of the information supplie. • h• i - a pa of thisapplication. ( ,{
NAME/TITLE: 0144k DATE: 661e/UA
❑ PROPERTY OWNER U PPLICANTCONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW El ADDITION El ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? El YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129